Step by Step






Credit Hours: CME 0.75

Target Audience:

This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Discuss the Enterovirus D68 outbreaks since 2014.
  • Discuss the difference in Enterovirus D68 and how it is affecting children with asthma.
  • Discuss Acute Flaccid Myelitis, it’s clinical symptoms and how to make diagnosis.

There is no educational content to this course. This course is designed to only administer the post-test and collect CME evaluations for the podcast associated with this training.
A Note From Dr. Tarchichi:
This podcast series was created to keep the busy physician of today informed and up to date on some of the most important diagnoses and issues we face every day in the care of hospitalized children.

Suggested Additional Reading:

  1. Bitnum A, Ann Yeh E. Acute Flaccid Paralysis and Enteroviral Infections. Curr Infect Dis Rep (2018) 20: 34.
  2. Messacar K, Scheiner T, Van Haren K, Yang M, Glaser C, Tyler K, Dominguez S. Acute Flaccid Myelitis: A Clinical Review of US Cases 2012–2015. Ann Neurol. 2016 September ; 80(3): 326–338. doi:10.1002/ana.24730.
  3. Clusters of Acute Respiratory Illness Associated with Human Enterovirus 68 --- Asia, Europe, and United States, 2008—2010. MMWR
John Williams, MD — Chief of the Division of Pediatric Infectious Diseases Professor of Pediatrics at the University of Pittsburgh School of Medicine
Dr. Williams is a consultant for Scientific Advisory Board, Quidel; Independent Data Monitoring Committee, GSK
Tony R. Tarchichi MD — Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC.) Paul C . Gaffney Diagnostic Referral Group
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

The University of Pittsburgh is an affirmative action, equal opportunity institution.