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The Pediatric Environmental Health Specialty Units are dedicated to increasing knowledge about environmental medicine among healthcare professionals around children’s environmental health. Many of the environmental risks that lead to ill health can be lessened or prevented with proper healthcare provider education and preparation. Healthcare providers are well-positioned to deliver care and health education needed to protect children from environmental threats and to share information with colleagues.

Online Training Opportunities For Health Professionals

Presentations and Case Studies

The following educational materials reflect a variety of key pediatric environmental health topics and exposure concerns.

NOTE: These documents should be considered as sample materials developed by and used by the PEHSU staff in their educational and outreach activities and are not intended to be used as stand alone educational materials.

How to Take a Environmental History
By Elsie Rosso Hidalgo, MD (University of California Irvine Pediatric Environmental Health Specialty Unit)
This presentation provides an overview of how to take a comprehensive pediatric history about potential environmental exposures.
pehsu.net/documents/how_to_take_environmental_history_2010.pdf

Lead Exposure
By Elsie Rosso Hidalgo, MD (University of California Irvine Pediatric Environmental Health Specialty Unit)
This presentation provides an overview of common sources of potential lead poisoning in children.
pehsu.net/documents/lead_exposure_hidalgo_2010.pdf

Pediatric Environmental Health 2009
by Rose Goldman, MD, MPH; Michael Shannon, MD, MPH; Alan Woolf, MD, MPH (New England Pediatric Environmental Health Specialty Unit)

Brief overview of key issues in pediatric environmental health:

- How has Pediatric Environmental Health evolved and what is it at present?

- Physiological and behavioral differences that make children more vulnerable to toxic exposures than adults

- How ongoing epidemiological and toxicological studies have altered our concept of what is "acceptable" exposure

- Issues related to child labor, both in the US, and other parts of the world

- Positive contributors from the environment, and what is our legacy?
pehsu.net/documents/pediatric_environmental_health_goldman_2009.pdf

Pediatric Environmental Health Specialty Units (PEHSU) Overview December 2011
The presentation provides the PEHSU Program objective, mission and history. It also provides an overview of the PEHSU site structure, staffing and services provided.

Phthalates and Bisphenol
By Elsie Rosso Hidalgo, MD (University of California Irvine Pediatric Environmental Health Specialty Unit)
There is growing concern about the use of plastics and children. This presentation provides an overview of the primary chemicals found in plastics – phthalates and bisphenol along with their potential health effects. Also guidance is provided for safe use of plastics.
pehsu.net/documents/phthalates_and_bisphenol_(BPA)_hidalgo_2010.pdf

Poison Center-based Monitoring and Surveillance of the Health Impacts of the Gulf Oil Spill on Children
By Robert J. Geller, MD, Southeast Pediatric Environmental Health Specialty Unit
Disasters like the Deepwater Horizon Oil Spill potentially impact the health of children. This presentation discusses the health and safety concerns related with this massive oil spill. Data from the National Poison Control Center database (by age and health outcomes) provides information about the health impacts related to children. This presentation has been peer reviewed by members of the PEHSU network.
pehsu.net/documents/gulf_oil_spill_children_geller_2012.pdf

The presentation is also available with narrative script. pehsu.net/documents/gulf_oil_spill_children_geller_2012_narrative.pdf

The following PEHSU Network factsheet serves as an excellent resource to accompany this presentation.
http://aoec.org/PEHSU/documents/oil_spill_information_for_health_professionals_8_2010.pdf

Simple Steps to Healthier Environments for your Babies, Toddlers and Teens
By staff of the Mount Sinai Pediatric Environmental Health Specialty Units.
This presentation discusses environmental factors that may influence children's health and the evaluation, diagnosis and treatment of children with suspected environmental exposures.
pehsu.net/documents/healthier_environments_region2_2011.pdf

Susceptibility of Children
by Larry Lowry, PhD, Southwest Center for Pediatric Environmental Health
Children are susceptible to agents in their environment depending on their stage of development. This presentation will define the stages of development, from conception through teen years and define the special susceptibilities at each developmental stage. For example, infants who feed from powdered formula obtain all of their water from the tap compared to adults who obtain only a small fraction of their fluid intake from tap water. Thus the infant gets a much higher dose of possible contaminants in water. Likewise toddlers may pickup contaminants in house dust because of their hand to mouth activity. Other examples are provided.
(Speaker notes included)
pehsu.net/documents/susceptibility_children_llowry_2003.pdf 

These sites offer opportunities for online learning

Case Studies

Adolescent Farmworkers at Risk
This five-module distance learning offering from the Migrant Clinicians Network provides a comprehensive overview of the adolescent farmworker population and the environmental hazards they face. The offering is designed to raise health care provider's index of suspicion regarding environmental causes of disease and injury among adolescent farmworkers while also providing clinicians with the tools and resources needed to address environmental and occupational concerns.
http://courses.migrantclinician.org/course/

 

American Academy of Pediatrics’ CME Finder
Select the category 'Environmental Health" to find pediatric environmental health continuing education offerings in your state.
www.pedialink.org/cmefinder/

 

American College of Preventive Medicine On-line CME Center
www.acpm.org/education/cme.htm

Case Studies in Environmental Medicine
is a series of self-study topics on hazardous substances, potential health effects, and patient care. These case studies offer free continuing education credits in the following areas: CME, CNE, CHES, and CEU. Grand Round presentations are also available and offer free continuing education credit. The Agency for Toxic Substances and Disease Registry (ATSDR) produces these educational series. These are available online at:
www.atsdr.cdc.gov/csem/csem.html

 

Children's Environmental Health Case Studies (University of Illinois - Chicago and the Great Lakes Center for Children's Environmental Health)

This series of interactive case studies will orient the user to important topics in pediatric environmental health. Within the context of a clinical scenario, important information regarding the diagnosis and management of environmental illness will be presented. Additionally, emphasis will be placed on the public health aspects of pediatric environmental illness. The cases are intended for providers involved in the care of children as well as public health practitioners and other health care providers with an interest in environmental health and medicine. Continuing medical education credits available.

 

Lead Poisoning Prevention Training Center
The training covers core subject areas relevant to all childhood lead poisoning prevention program (CLPPP) staff though a series of plenary sessions. Topics covered in the core curriculum include lead's health effects, federal lead policy, key concepts of primary and secondary prevention, and health education strategies for primary prevention, among others.
www.cdc.gov/nceh/lead/training/LPPTC.htm

 

Organophosphate Pesticides and Child Health: A Primer for Health Care Providers
Aimed at health care providers, but open to the general public, this course presents the current scientific evidence regarding health risks for children exposed to organophosphate pesticides (OPs). This information is needed to understand potential risks to pediatric patients and inform clinical problem solving regarding pesticide exposure.
http://depts.washington.edu/opchild/

 

Pediatric Environmental Health Toolkit Training Module
This interactive Web-based module introduces users to the basics of environmental health and explains the purpose and best use of Toolkit materials. It offers health-care providers detailed examples about how to best deliver anticipatory guidance on a range of environmental health issues, especially during well-child visits. http://www.atsdr.cdc.gov/emes/health_professionals/pediatrics.html

 

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